Usefulness of Chest Wall Tenderness as Bedside Test to Exclude Acute Coronary Syndrome in Different Demographic Groups
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|ClinicalTrials.gov Identifier: NCT01724996|
Recruitment Status : Completed
First Posted : November 12, 2012
Last Update Posted : May 28, 2014
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|Condition or disease||Intervention/treatment|
|Chest Pain||Other: Clinical examination: chest wall tenderness|
|Study Type :||Observational|
|Actual Enrollment :||110 participants|
|Official Title:||Usefulness of Chest Wall Tenderness as Bedside Test to Exclude Acute Coronary Syndrome in Different Demographic Groups|
|Study Start Date :||October 2012|
|Actual Primary Completion Date :||November 2013|
|Actual Study Completion Date :||April 2014|
- Other: Clinical examination: chest wall tenderness
The physical examination includes the testing of chest wall tenderness: Palpation of chest wall tenderness in lying 30° elevation of chest position. Flat index with standardized pressure where spontaneous maximum pain is reported (reproducible vs. not reproducible pain vs. no pain). Negative control (right side of chest mid-clavicle intercostal 6/7), reproducible vs. not reproducible pain vs. no pain.
- Chest wall tenderness [ Time Frame: From first presententation to omission (6-12 hours) ]Chest wall tenderness in patients presenting with acute chest pain and acute coronary syndrome (ACS) (ST-elevation myocardial infarction, STEMI/Non-ST-elevation myocardial infarction, NSTEMI /unstable angina pectoris) vs. chest wall tenderness in patients presenting with chest pain and without ACS in different demographic groups (Age under vs. over 50 years; male vs. female, with vs. without CVRF).
- Pain description [ Time Frame: 6-12 hours ]Localization/Radiation of pain/first time/recurrent/ Patient thinks heart is the cause/ different CVRF/Illicit drugs/Medication - in combination with "reproducible/not reproducible pain" associated with ACS
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|Ages Eligible for Study:||16 Years and older (Child, Adult, Older Adult)|
|Sexes Eligible for Study:||All|
|Accepts Healthy Volunteers:||No|
|Sampling Method:||Non-Probability Sample|
Inclusion criteria: All patients over the age of 18 years presenting with the leading symptom of first time or recurrent acute chest pain in the emergency room of the Department of Internal Medicine, University Hospital of Zurich.
- Missing informed consent.
- Cardiopulmonary unstable patients.
- No self reported chest pain.
- Recent thoracic surgery within1 year, inflammatory joint disease, fibromyalgia, cardiogenic shock.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01724996
|University Hospital Zurich, Division of Internal Medicine|
|Zurich, ZH, Switzerland, 8091|
|Principal Investigator:||Daniel Franzen, MD||University Hospital Zurich, Division of Internal Medicine|
|Responsible Party:||University of Zurich|
|Other Study ID Numbers:||
|First Posted:||November 12, 2012 Key Record Dates|
|Last Update Posted:||May 28, 2014|
|Last Verified:||May 2014|
Acute Coronary Syndrome